Provider Demographics
NPI:1821216391
Name:DELRAY MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:DELRAY MEDICAL CENTER, INC.
Other - Org Name:PINECREST REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-495-3100
Mailing Address - Street 1:PO BOX 741211
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-1211
Mailing Address - Country:US
Mailing Address - Phone:561-495-0400
Mailing Address - Fax:561-499-6812
Practice Address - Street 1:5360 LINTON BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6514
Practice Address - Country:US
Practice Address - Phone:561-495-0400
Practice Address - Fax:561-499-6812
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELRAY MEDICAL CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-23
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
10-T258Medicare UPIN